Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKeystone Quality Transport Company
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Keystone Quality Transport Company — Billing Profile & Reimbursement Data

    NPI 1548247455 · Springfield, PA · Land Ambulance

    Customize your policy alerts

    Sign up for Keystone Quality Transport Company — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Keystone Quality Transport Company is a land ambulance provider located in Springfield, Pennsylvania. This profile covers 6 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKeystone Quality Transport Company
    Address1260 E Woodland Ave
    CitySpringfield
    StatePA
    ZIP19064
    TaxonomyLand Ambulance
    NPI EnumeratedDecember 30, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.1M
    Medicare$3.4M

    Key Findings

    KEYSTONE QUALITY TRANSPORT COMPANY operates as a land ambulance provider whose claim mix is overwhelmingly ground-transport–focused; Medicare and Medicaid billing is dominated by codes for basic life support non-emergency transport (A0428), ground mileage (A0425), and advanced/non-emergency ALS (A0426), while Medicaid also shows large volume in wheelchair-van NEMT (A0130). This mix points to an operation built around routine non-emergency patient transports, mileage-driven reimbursement, and dedicated wheelchair-van services rather than primarily emergency-only response.

    Revenue concentration is very high for both payers: the top three Medicare codes account for 97.4% of the provider's total Medicare revenue, and the top three Medicaid codes account for 85.3% of the provider's total Medicaid revenue. Those concentrations indicate financial dependence on a small set of transport services, making changes in reimbursement or referral volume for those codes a material business risk.

    In absolute scale the provider is Medicaid-dominant, reporting $3.4M in lifetime Medicare revenue versus $13.1M in lifetime Medicaid revenue. The much larger Medicaid base implies that payer negotiations, state program rules, and Medicaid-NEMT contracting are likely the primary drivers of overall revenue and operational priorities.

    On Medicare the provider is a high-volume national participant for key codes: A0428 (BLS non-emergency) ranks #39 of 2772 providers (99th percentile; extreme outlier) and generated $2.5M of Medicare revenue, while A0425 (mileage) ranks #141 of 8934 (98th percentile; notably above typical national volume). Those placements signal the organization is a major national-volume supplier of BLS non-emergency transports and associated mileage on the Medicare side rather than a modest or occasional biller.

    On Medicaid the provider is a dominant in-state player for its top services: A0428 ranks #2 of 157 (99th percentile; extreme outlier) and produced $6.5M of Medicaid revenue, A0425 ranks #3 of 442 (100th percentile; extreme outlier), and A0130 (wheelchair van) ranks #1 of 18 (100th percentile; extreme outlier). Collectively these ranks identify the provider as a leading statewide supplier of non-emergency BLS transports, mileage, and wheelchair-van NEMT services in Pennsylvania.

    The Medicaid code mix includes substantial specialized transport lines: A0130 (wheelchair van) accounts for $2.3M and A0434 (specialty care transport) accounts for $438K of Medicaid revenue, showing dedicated capacity for wheelchair and higher-acuity non-emergency transfers in addition to standard ambulance work. Presence of both A0434 and A0426 volumes suggests the provider handles a continuum from wheelchair NEMT up through ALS-level non-emergency transfers.

    Payment-rate patterns differ by payer and service level and will affect trip-level economics: Medicare A0428 averages $220 avg paid/claim while Medicaid A0428 averages $146 avg paid/claim, and Medicare A0426 averages $266 avg paid/claim versus Medicaid A0426 at $275 avg paid/claim. These published per-claim averages indicate reimbursement per trip varies by payer and code in ways that will shape profitability by service line and payer mix.

    The provider's NPI was enumerated on 2005-12-30 (~21 years ago), indicating long tenure in the market; coupled with its extreme-volume ranks and concentrated revenue base, this suggests established operational capacity and likely long-standing referral or contract relationships driving high transport volumes. Longevity plus outsized state and national rankings imply operational scale and persistence rather than transient billing spikes.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)11,480$220$2.5M
    A0425Ground mileage, per statute mile104,060$10$728.4K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)290$270$76.3K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)180$350$64.8K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)40$420$17.1K
    A0434Specialty care transport (sct)10$720$8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427351460120$390$118.2K
    A04281210150$210$103.4K
    A0429190540110$330$86.9K
    A0434101050$690$63.4K
    A042516002,630$10$42.8K
    A042679050$250$24.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)44,570$150$6.5M
    A0425Ground mileage, per statute mile65,360$40$2.4M
    A0130Non-emergency transportation: wheelchair van35,260$70$2.3M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)4,460$280$1.2M
    A0434Specialty care transport (sct)940$460$438K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,290$150$186.8K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)270$230$61K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation720$1$720

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0434Specialty care transport (sct)410350$20$2M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)199290710$300$631.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)118390510$250$557.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)2160460$150$316.4K
    A0130Non-emergency transportation: wheelchair van120790$60$215.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)260120$270$160.6K
    A0425Ground mileage, per statute mile3440400$30$76K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation210270$1$490

    Nearby Providers

    Other providers in the same ZIP code as Keystone Quality Transport Company, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joshua SteinerPAOphthalmology Physician$1.4M$860
    Kimberly CampbellPACardiovascular Disease Physician$899.6K$50
    John GodfreyPACardiovascular Disease Physician$772.2K$270
    Leonard GinsburgPAOphthalmology Physician$618.5K$0
    Joshua GreenPAPhysical Therapist$345K$0
    James MoranPASports Medicine (Family Medicine) Physician$232.2K$0
    Nancy CrawfordPAOphthalmology Physician$155K$0
    Elizabeth MerryfieldPAPsychologist$144.9K$0
    Paul KoleckiPAEmergency Medicine Physician$130.7K$0
    Maureen O'learyPAPhysical Therapist$121.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Keystone Quality Transport Company — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Keystone Quality Transport Company — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania